Riccobono, Henrieta. The implementation of a palliative care screening tool to identify patients in need and to increase access to palliative care. Retrieved from https://doi.org/doi:10.7282/t3-7k5p-ee65
DescriptionBackground: Palliative care remains underused in management of end stage illness. The goal of this study was to identify patients with unmet palliative care needs and increase palliative care consultations for patients with end-stage illnesses through the implementation of a screening tool.
Method: The study was a quality improvement project, using a single-site retrospective and prospective chart review to determine whether the use of a palliative care screening tool would increase referrals for palliative care at 145-bed community hospital. The total sample consisted of 124 medical charts. Sixty-two charts were reviewed before and 62 charts after the implementation of the screening tool. Percentage change was used to calculate pre-intervention and post-intervention consultation rates and SPSS software was used for descriptive analysis of sample demographics and length of stay analysis.
Results: There was a 40% increase in palliative care consultation rates after the implementation of a palliative care screening tool. Patients who received palliative care consult had a significantly lower length of stay in the hospital (p value=0.000). Nineteen patients who did not receive palliative care consult had an average length of stay of 10.58 days and 43 patients who received palliative care consult had an average length of stay of 5.56 days.
Conclusions/Implications: The use of palliative care screening tool hospital-wide can help clinicians to identify patients in need of palliative care in a standard and objective manner to foster early palliative care consultation, which can potentially improve financial and non-financial aspects of a patient’s care.